Prado Maria Gabriella Adeodato, Arcanjo Francisco Placido Nogueira, de Andrade Luiz Odorico Monteiro, Barreto Ivana Cristina de Holanda Cunha, Teles Lizandro de Andrade, Justino Jeferson de Sousa, Teixeira Edcley de Souza, Mororó Marya Clara Barros
Universidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Sobral, CE, Brazil.
Universidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Sobral, CE, Brazil.
J Pediatr (Rio J). 2025 Jul-Aug;101(4):485-493. doi: 10.1016/j.jped.2025.01.013. Epub 2025 Apr 9.
The objective of this review is to assess the use of support tools for children with asthma, based on web and mobile device technologies, and their impact on asthma control.
This is a systematic review conducted in accordance with the PRISMA guidelines and the Joanna Briggs Institute (JBI) Manual. The research question defined by the PICO strategy was: ''What are the effects of web-based and mobile device support tools on asthma control in children?'' The search was conducted in the Medline (via PubMed), SciELO, and Embase databases between October and December 2023, with completion in July 2024.
The systematic review analyzed 388 articles and selected 4 studies on technologies for managing asthma in children. The studies showed that mobile apps and electronic monitoring improve asthma control, treatment adherence, and caregivers' quality of life. The meta-analysis showed a mean increase in Asthma Control Test (ACT) scores of 2.73 (95 % CI: 1.95, 3.51) with P < 0.0001, indicating a significant improvement in asthma control scores, highlighting the effectiveness of these technologies.
This study demonstrates that digital tools, such as web technologies and mobile devices, can significantly improve the management of childhood asthma, as reflected by an increase in Asthma Control Test (ACT) scores. Despite limitations, the findings are promising. Future research is needed to strengthen the evidence and guide clinical practice in pediatric asthma management.
本综述的目的是评估基于网络和移动设备技术的哮喘儿童支持工具的使用情况及其对哮喘控制的影响。
这是一项按照PRISMA指南和乔安娜·布里格斯研究所（JBI）手册进行的系统综述。由PICO策略定义的研究问题是：“基于网络和移动设备的支持工具对儿童哮喘控制有何影响？”于2023年10月至12月在Medline（通过PubMed）、SciELO和Embase数据库中进行检索，并于2024年7月完成。
该系统综述分析了388篇文章，并选取了4项关于儿童哮喘管理技术的研究。这些研究表明，移动应用程序和电子监测可改善哮喘控制、治疗依从性以及照顾者的生活质量。荟萃分析显示哮喘控制测试（ACT）分数平均提高2.73（95%置信区间：1.95，3.51），P<0.0001，表明哮喘控制分数有显著改善，突出了这些技术的有效性。
本研究表明，网络技术和移动设备等数字工具可显著改善儿童哮喘管理，哮喘控制测试（ACT）分数的提高即反映了这一点。尽管存在局限性，但研究结果很有前景。未来需要开展研究以加强证据并指导儿科哮喘管理的临床实践。
